Jordan M Adkins, APRN-CNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Wayne, WV
NPI 1124424759 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1124424759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN75796 (WV)
- Practice address
- 42 McGinnis Dr
Wayne, WV 25570-9553 - Phone
- (304) 272-5136
- Fax
- (304) 272-6261
- NPI assigned
- Nov 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Health Systems, Inc
Practice addresses (Care Compare)
2585 3Rd Ave
Huntington, WV 25703-1642
42 McGinnis Dr
Wayne, WV 25570-9553
Phone (304) 272-5136
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141223000873 | WV | Practitioner - Nurse Practitioner | 3375866320 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75796 | WV | MD | Family Nurse Practitioner |
| APRN75796 | WV | MD | Family Nurse Practitioner |
| 75796NP | WV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Systems, Inc. | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current |
Accepting new patients | |
| Valley Health Systems Inc | Current | Accepting new patients | |
| David J. Humphreys, MD, Psychiatrist Inc. | Past |
Accepting new patients |
Locations
22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595
85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136
Interoperability endpoints
- jadkins20142@valleyhealthsystems.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN75796 | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 75796NP | WV | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN75796 | WV | Yes |
| Family Nurse Practitioner | 363LF0000X | 75796 | WV |
Addresses
Primary practice location
42 McGinnis Dr
Wayne, WV 25570-9553
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 781-5159
Other practice location 1
22 Fleming Dr
Harts, WV 25524-9788
Phone (304) 855-4595
Other practice location 2
85 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 399-3310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810028745 | Medicaid | WV |
Other providers in Wayne, WV
- Pamela L Adams
- Beverly Adkins
- Carlos Adkins
- Esther Brooke Adkins
- Harmon Adkins
- Kayla Adkins
- Patricia Sue Adkins
- Shannon Nicole Adkins
- Stacy Adkins
- Stephanie Marie Adkins
All providers in Wayne, WV · Psychiatric/Mental Health Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.